Katherine Ann McCloskey – Mental Health Counselor

Key facts

NPI: 1295896702
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 116958 (MA)
Practice address: 22 West St Ste 14
Millbury, MA 01527-2677
Phone: (508) 667-7287
NPI assigned: Dec 12, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Advanced Psych Services, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Worcester, MA · NPI 1750648689

Medicare reassignment Care Compare group NPD MA
South Bay Mental Health Center, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Brockton, MA · NPI 1023096864

NPD (past)

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2006
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Advanced Psych Services LLC (19 clinicians)

Practice addresses (Care Compare)

425 Lake Ave N
Suite 101
Worcester, MA 01605-2073
Phone (508) 753-3220

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20140402001359	MA	Practitioner - Clinical Social Worker	5395976419	Reassigns benefits to 1 organization Practice locations: Millbury, MA

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Advanced Psych Services, LLC		Current since Mar 1, 2014	Accepting new patients
South Bay Mental Health Center, Inc.		Past	Accepting new patients

Locations

425 Lake Ave N
Ste 101
Worcester, MA 01605
Phone (508) 753-3220

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	116958	MA	Yes

Addresses

Primary practice location

22 West St Ste 14
Millbury, MA 01527-2677

Mailing address

22 West St Ste 14
Millbury, MA 01527-2677
Phone (508) 667-7287

Other practice location 1

425 Lake Ave N Ste 101
Worcester, MA 01605-2073
Phone (508) 753-3220

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2026.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1295896702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WEST ST STE 14",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015272677",
            "telephone_number": "508-667-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WEST ST STE 14",
            "city": "MILLBURY",
            "state": "MA",
            "postal_code": "015272677",
            "telephone_number": "508-667-7287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Lake Ave N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052073",
            "country_code": "US",
            "telephone_number": "508-753-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "MSW/ LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "116958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbury, MA

All providers in Millbury, MA · Mental Health Counselor in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.